1
|
Coutelle R, Boedec M, Vermeulen K, Kummeling J, Koolen DA, Kleefstra T, Fournier C, Colin F, Strehle A, Geneviève D, Burger P, Mandel JL. The impact of lockdown on young people with genetic neurodevelopmental disabilities: a study with the international participatory database GenIDA. BMC Psychiatry 2022; 22:572. [PMID: 36008773 PMCID: PMC9403223 DOI: 10.1186/s12888-022-04213-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 08/09/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Previous publications suggested that lockdown is likely to impact daily living issues of individuals with intellectual disabilities. The authors notably suspected an intensification of behavioural, eating and sleep problems. METHODS To test these hypotheses, we conducted an international online survey about the impact of COVID-19-associated first lockdown on people with genetic neurodevelopmental disorders. This survey was carried out using GenIDA, an international participatory database collecting medical information on genetic neurodevelopmental disorders. Patients' relatives took part in this online survey from 30/04/2020 to 09/06/2020. This survey adapted from GenIDA standard questionnaire requested information on diagnosis, lifestyle and was based on yes/no answers to questions regarding behaviour, diet, and sleep, in the 6-months period before lockdown and during lockdown. We also asked relatives to evaluate the intensity of these problems by severity level. Finally, relatives could freely comment in open fields on the medical and/or quality of life problems they had encountered during lockdown. RESULTS In total 199 participants-144 children and 45 adults-with neurodevelopmental disorders (intellectual disability (79.4%) and/or autism spectrum disorder (21.6%)) of various genetic origins, with near-equal male/female (96/103) contribution and originating mainly from Europe and Northern America, were included. The average lockdown duration at time of the survey was 57 days. We did not find differences in the frequency of behavioural, eating and sleep problems before and during lockdown. Moreover, there was no apparent difference in the intensity of eating and sleep disorders between both periods. However, for persons with behavioural problems at both periods, relatives reported an increase in aggressivity, self-aggressivity, depressiveness, stereotypies, and restricted interests during lockdown, all of which might be interpreted as consequences of a lack of stimulation or a reaction to unexpected changes in daily habits. CONCLUSIONS Our results support previous studies that suggest that the negative impact of lockdown does not depend on the intellectual disability per se but on the associated comorbidities such as behavioural disorders. This study addresses the need for prevention of behavioural disturbance in the vulnerable population with genetic neurodevelopmental disabilities.
Collapse
Affiliation(s)
- Romain Coutelle
- Child and Adolescent Psychiatry Service - Department of Psychiatry, University Hospitals of Strasbourg, Strasbourg, France. .,Department of Psychiatry, INSERM1114, University Hospitals of Strasbourg, University of Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France.
| | - Morgane Boedec
- grid.412220.70000 0001 2177 138XChild and Adolescent Psychiatry Service - Department of Psychiatry, University Hospitals of Strasbourg, Strasbourg, France
| | - Karlijn Vermeulen
- grid.10417.330000 0004 0444 9382Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands ,grid.461871.d0000 0004 0624 8031Karakter Child and Adolescent Psychiatry, Department of Intellectual Disabilities, Ede, The Netherlands
| | - Joost Kummeling
- grid.10417.330000 0004 0444 9382Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands
| | - David A. Koolen
- grid.10417.330000 0004 0444 9382Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Tjitske Kleefstra
- grid.10417.330000 0004 0444 9382Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands ,grid.418157.e0000 0004 0501 6079Centre of Excellence for Neuropsychiatry, Vincent Van Gogh Institute for Psychiatry, Venray, The Netherlands
| | - Camille Fournier
- grid.412220.70000 0001 2177 138XChild and Adolescent Psychiatry Service - Department of Psychiatry, University Hospitals of Strasbourg, Strasbourg, France
| | - Florent Colin
- grid.420255.40000 0004 0638 2716Institute of Genetics and Molecular and Cellular Biology (IGBMC), Dept. of Neurogenetics and Translational Medicine), Illkirch, Strasbourg, France ,grid.7429.80000000121866389Institut National de La Santé Et de La Recherche Médicale, U 1258, Illkirch, 67400 Strasbourg, France ,grid.4444.00000 0001 2112 9282Centre National de La Recherche Scientifique, UMR 7104, Illkirch, 67400 Strasbourg, France ,grid.11843.3f0000 0001 2157 9291University of Strasbourg, Strasbourg, France ,grid.11843.3f0000 0001 2157 9291Current Address: INSERM UMR_S1109, Tumor Biomechanics Lab, Fédération de Médecine Translationnelle de Strasbourg (FMTS), University of Strasbourg, Strasbourg, France
| | - Axelle Strehle
- grid.420255.40000 0004 0638 2716Institute of Genetics and Molecular and Cellular Biology (IGBMC), Dept. of Neurogenetics and Translational Medicine), Illkirch, Strasbourg, France ,grid.7429.80000000121866389Institut National de La Santé Et de La Recherche Médicale, U 1258, Illkirch, 67400 Strasbourg, France ,grid.4444.00000 0001 2112 9282Centre National de La Recherche Scientifique, UMR 7104, Illkirch, 67400 Strasbourg, France ,grid.11843.3f0000 0001 2157 9291University of Strasbourg, Strasbourg, France
| | - David Geneviève
- grid.121334.60000 0001 2097 0141Département de Génétique Maladies Rares, University of Montpellier, CLAD Sud Languedoc-Roussillon, INSERM U1186, Montpellier, France
| | - Pauline Burger
- grid.420255.40000 0004 0638 2716Institute of Genetics and Molecular and Cellular Biology (IGBMC), Dept. of Neurogenetics and Translational Medicine), Illkirch, Strasbourg, France ,grid.7429.80000000121866389Institut National de La Santé Et de La Recherche Médicale, U 1258, Illkirch, 67400 Strasbourg, France ,grid.4444.00000 0001 2112 9282Centre National de La Recherche Scientifique, UMR 7104, Illkirch, 67400 Strasbourg, France ,grid.11843.3f0000 0001 2157 9291University of Strasbourg, Strasbourg, France
| | - Jean-Louis Mandel
- grid.420255.40000 0004 0638 2716Institute of Genetics and Molecular and Cellular Biology (IGBMC), Dept. of Neurogenetics and Translational Medicine), Illkirch, Strasbourg, France ,grid.7429.80000000121866389Institut National de La Santé Et de La Recherche Médicale, U 1258, Illkirch, 67400 Strasbourg, France ,grid.4444.00000 0001 2112 9282Centre National de La Recherche Scientifique, UMR 7104, Illkirch, 67400 Strasbourg, France ,grid.11843.3f0000 0001 2157 9291University of Strasbourg, Strasbourg, France ,grid.11843.3f0000 0001 2157 9291Institute for Advanced Studies, University of Strasbourg (USIAS), Strasbourg, France
| |
Collapse
|